HomeMy WebLinkAboutFILLED LANDPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGIMA AVENUE
FORT PIERCE, FL 34982-5652
(772) 4624553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(Parcel IML ,
r �� 7 ' S�i�`D — 0`Z 93 "GOd —
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final,Development Permit, BP Number . I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community WILL NOT be adversely affected.
I further acknowledge that in granting this permit for the development of this property
St. Lucie County is neither obliged nor liable to provide for, or maintain in any form
adequate drainage off my property which will not adversely affect the immediate
community.
ih,4-srA
Property Owner Name (Please Print) /
Pro ertyOwne at �2` Z
Date
STATEOF FLORmq, COUNTY OF �� �G�3
ACKNOWLEDGED BEFORE ME THIS aaAV�)DAY OF f'>-
BYh1/�� L—`. MASSq WHO IS PERSONALLY KNOWN To ME (in OR WHO HAS
PRODUCED
AS IDENTIFICATION,
SI N TURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
SLCPDSD Revised 04/I I20t I
(SEAL)
YI
JGA!JNESVILL3
:,;;•'PI>...
272813
Cammisslon 0 GG
Expire'sFobmery20,2023
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